运用调中复衡理论诊治功能性胃肠病症状重叠的思路和方法  

Diagnosis and Treatment of Symptom Overlap in Functional Gastrointestinal Disorders based on the Theory of Regulating the Middle and Restoring Balance

作　　者：温永天 王凤云[2] 唐旭东[3] 吕林[2] 梁旭 卫裕晨 WEN Yongtian;WANG Fengyun;TANG Xudong;LYU Lin;LIANG Xu;WEI Yuchen(Graduate School,Beijing University of Chinese Medicine,Beijing,100029;Xiyuan Hospital,China Academy of Chinese Medical Sciences;China Academy of Chinese Medical Sciences)

机构地区：[1]北京中医药大学研究生院,北京市100029 [2]中国中医科学院西苑医院 [3]中国中医科学院

出　　处：《中医杂志》2022年第1期17-20,共4页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81873297,81804078);国家科技重大专项(2019ZX09201005-003);中国中医科学院优秀青年科技人才培养专项(ZZ13-YQ-006)。

摘　　要：功能性胃肠病(FGIDs)症状重叠现象在临床上非常普遍,增加了临床诊治的难度。调中复衡理论是在继承脾胃学说和通降论学术思想的基础上,结合长期临床实践所构建的脾胃病治疗理论。基于调中复衡理论,认为脾胃功能失调、气机升降失衡是FGIDs症状重叠现象发生的核心病机,其治疗目标是恢复气机升降平衡及脏腑功能平衡的"两平衡"状态,辨治则以"八纲通胃法"作为具体方法,即以脏腑为纲、多脏腑同调为主,以气血为纲、调气复通降为要,以虚实为纲、补虚泻实为法,以寒热为纲、平调寒热为常。以调中复衡理论为指导,纲目分明,执简驭繁,可为临床诊治FGIDs症状重叠厘清思路。Symptom overlap in functional gastrointestinal disorders(FGIDs)is frequetly occured,which increases the difficulty of clinical diagnosis and treatment.The theory of regulating the middle and restoring the balance is generated based on the inheritance of the spleen-stomach theory and unblocking and purging theory and on the accumulation of long-term clinical practice.According to this theory,the spleen and stomach dysfunction and the imbalance of qi movement are the core pathogenesis of FGIDs symptom overlap,and the treatment goal is to restore the dual balance of qi movement and zang-fu(脏腑)organs function.The method of“unblocking the stomach with eight-principle pattern differentiation”is suggested;in terms of zang-fu principle,the combined regulation of multiple zangfu organs is set as the focus;for qi-blood principle,it is critical to regulate qi and restore unblocking and purging;guided by the deficiency-excess principle,it is suggested to supplement deficiency and drain the excess;following the cold-heat principle,it is usually to regulate cold and heat with even methods.The theory of regulating the middle and restoring the balance has clear principles and makes it easier to be mastered,providing references for clinical diagnosis and treatment of FGIDs symptom overlap.

关 键 词：功能性胃肠病 症状重叠 调中复衡 脾胃病 通降论 

分 类 号：R259[医药卫生—中西医结合]